KLUTH FAMILY DENTISTRY INC. (NPI# 1053402198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053402198 |
| Entity Type | Organization |
| Organization Name | KLUTH FAMILY DENTISTRY INC. |
| Practice Address |
2204 S Park Ave Alexandria IN 46001-8059 |
| Practice Telephone | 7657247729 |
| Practice Fax Number | 7657249519 |
| Mailing Telephone | 7657247729 |
| Mailing Fax Number | 7657249519 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. BETTY J SIZELOVE (OFFICE MANAGER) |
| Authorized Official Telephone | 7657247729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12009126 | IN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BLUE CROSS BLUE SH | 000000189293 | 01 |
| IN | MILITARY | 784991 | 01 |
| IL | 9177506 | 05 | |
| IN | ANTHEM BLUE CROSS | 000000089901 | 01 |
| Street Address |
2204 S PARK AVE |
| City | ALEXANDRIA |
| State | IN |
| Zip Code | 46001-8059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164081113 | Corey Martinez Dds LLC- Binford | Dentist | 2204 S Park Ave, Alexandria, IN 46001-8059 | 2019-06-12 |
| 1467980284 | Torie Lynn Richardson | Dentist | 2204 S Park Ave, Alexandria, IN 46001-8059 | 2017-05-24 |
| 1083094155 | Corey D Martinez | Dentist | 2204 S Park Ave, Alexandria, IN 46001-8059 | 2015-06-04 |
| 1871635573 | Joni L. Kluth | Dentist | 2204 S Park Ave, Alexandria, IN 46001-8059 | 2007-02-12 |
| 1083756795 | Michael K. Kluth | Dentist | 2204 S Park Ave, Alexandria, IN 46001-8059 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992293187 | Amber Marie Wisehart | Nurse Practitioner | 121 W Washington St, Alexandria, IN 46001 | 2018-04-24 |
| 1629504709 | Melissa Rex | Speech-Language Pathologist | 1912 S Park Ave, Alexandria, IN 46001 | 2017-05-10 |
| 1427497932 | Yochana R Gavva | Family Medicine | 2116 S Park Ave, Alexandria, IN 46001 | 2013-06-18 |
| 1235201021 | J Chester Long II | Pharmacy | 1405 N Park Ave, Alexandria, IN 46001-1466 | 2006-11-15 |
| 1528256229 | My Urban Clinic, Inc | Clinic/Center | 1405 N Park Ave, Alexandria, IN 46001-1466 | 2007-10-09 |
| 1538530407 | Mitchel Yeagy | Specialist/Technologist | 305 N Edgeway Dr, Alexandria, IN 46001-1603 | 2015-10-16 |
| 1306039839 | Jessica Lee Cottrell | Licensed Practical Nurse | 604 W Broadway St, Alexandria, IN 46001-1721 | 2007-08-17 |
| 1982245239 | Drew Joseph Gleitsmann | Psychologist | 121 W Washington St, Alexandria, IN 46001-1809 | 2019-10-07 |
| 1619433513 | Meridian Health Services Corp | Clinic/Center | 101 N Harrison St, Alexandria, IN 46001-2017 | 2019-02-15 |
| 1821098005 | David C Steele | Dentist | 113 S Harrison St, Alexandria, IN 46001-2021 | 2005-07-28 |
| Find all providers in zip 46001 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154516 | Kim Ierna Kitchen Dds, PC | Dentist | 500 Montgomery St Ste 250, Alexandria, VA 22314-1558 | 2020-11-05 |
| 1477117778 | Galleria Dental of Alexandria Pllc | Dentist | 3223 Duke St Ste G, Alexandria, VA 22314-4555 | 2019-04-23 |
| 1609333178 | Sebastian Gonzalez-diaz | Dentist | 3709 Masonic Dr, Alexandria, LA 71301-3632 | 2019-02-20 |
| 1952896383 | Christy Park Hark | Dentist | 901 N Washington St Ste 202, Alexandria, VA 22314-1535 | 2018-06-27 |
| 1144714718 | Taylor Eve Sylvester | Dentist | 2014 Gus Kaplan Dr, Alexandria, LA 71301-3358 | 2018-06-18 |
| 1396259586 | Sasan Ahmadiyar, Dds,pllc | Dentist | 1911 Ballenger Ave, Alexandria, VA 22314-6819 | 2017-11-27 |
| 1891205993 | Caroline Young Lee | Dentist | 4452 Raleigh Ave Apt 201, Alexandria, VA 22304-6744 | 2017-10-03 |
| 1578091591 | Timothy Yang | Dentist | 5249 Duke St # L-10, Alexandria, VA 22304-2926 | 2017-06-03 |
| 1659827871 | Tesfaye A Hailemariam Dds PC | Dentist | 5764 Dow Ave, Alexandria, VA 22304 | 2016-08-28 |
| 1902359409 | Emily Chow | Dentist | 1725 Duke St, Suite Gr03, Alexandria, VA 22314 | 2016-08-01 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 46001 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.